| Images Medical Clinic Pa | |
|
38176 Medical Center Ave Zephyrhills FL 33540-1380 | |
| (813) 444-7311 | |
| (813) 488-0011 |
| Full Name | Images Medical Clinic Pa |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 38176 Medical Center Ave, Zephyrhills, Florida |
| Authorized Official Name and Position | Kasie Russell (OWNER) |
| Authorized Official Contact | 8134447311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Images Medical Clinic Pa Po Box 7062 Wesley Chapel FL 33545-0100 Ph: (813) 444-7311 | Images Medical Clinic Pa 38176 Medical Center Ave Zephyrhills FL 33540-1380 Ph: (813) 444-7311 |
| NPI Number | 1386247310 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 3173935715 |
|---|---|
| Medicare Enrollment ID | O20201223001797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386247310 | NPI | - | NPPES |
| 9268544 | Other | FL | APRN |
| Provider Name | Kasie Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366629123 PECOS PAC ID: 5395822233 Enrollment ID: I20080402000866 |
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